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POLK EMERGENCY GROUP LLC
NPI 1558338574
Emergency Medicine in Bartow, FL

Active since March 08, 2006
2200 OSPREY BLVD, BARTOW, FL 33830(863) 519-1440 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 21, 2025, May 5, 2021, Jan 11, 2016 (3 updates tracked since 2016).

About Polk Emergency Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLK EMERGENCY GROUP LLC (NPI 1558338574) is a healthcare organization registered as an emergency medicine in Bartow, Florida and active in the NPI registry since March 2006. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1558338574
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePOLK EMERGENCY GROUP LLC
Location Address2200 OSPREY BLVDBartow, FL 33830-3308
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(863) 519-1440
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1558338574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2200 OSPREY BLVD, Bartow, FL 33830
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Other Identifiers 1

Medicaid254403200FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polk Emergency Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Polk Emergency Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner19
Emergency Medicine16
Family Practice8
Internal Medicine7
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 51
Ingrid Fernandez, ARNP-FNP-C
Nurse Practitioner
NPI 1417493081
2200 OSPREY BLVD
Bartow, FL 33830
(863) 533-8111
✔ PECOS✔ Accepts MedicareSame address
Sean Mcmicken, NP
Nurse Practitioner
NPI 1598848327
2200 OSPREY BLVD
Bartow, FL 33830
(800) 893-9698
✔ PECOS✔ Accepts MedicareSame address
James Bittner, NP
Nurse Practitioner
NPI 1770893711
2200 OSPREY BLVD
Bartow, FL 33830
(800) 893-9698
✔ PECOSSame address
Albina Mingacheva, NP
Nurse Practitioner
NPI 1891246096
2200 OSPREY BLVD
Bartow, FL 33830
(863) 533-8111
✔ PECOS✔ Accepts Medicare0.1 mi
James Smith, M.D.
Emergency Medicine
NPI 1275504144
2200 OSPREY BLVD
Bartow, FL 33830
(863) 519-1440
✔ PECOS✔ Accepts Medicare0.1 mi
Christopher Whitney, ARNP
Nurse Practitioner
NPI 1275025462
3215 WINTER LAKE RD
Lakeland, FL 33803
(863) 419-3322
✔ PECOS✔ Accepts Medicare6.2 mi
Erin Garza, APRN
Nurse Practitioner
NPI 1225643638
1606 LAKEWOOD DR N
Lakeland, FL 33813
(863) 804-7339
✔ PECOS✔ Accepts Medicare6.3 mi
Dana Kleinman, D.O.
Internal Medicine
NPI 1457592339
5428 LUCE RD
Lakeland, FL 33813
(786) 239-1766
✔ PECOS6.7 mi
Jenifer Valadez, ARNP
Nurse Practitioner
NPI 1548659576
500 E CENTRAL AVE
Winter Haven, FL 33880
(863) 293-1191
✔ PECOS✔ Accepts Medicare6.7 mi
Tonya Bolton, D.O.
Emergency Medicine
NPI 1841585825
2112 TERRY LN
Auburndale, FL 33823
(863) 287-9186
✔ PECOS✔ Accepts Medicare8.6 mi
Katrena Flowers, APRN
Nurse Practitioner
NPI 1093320848
130 PABLO ST
Lakeland, FL 33803
(863) 687-6800
✔ PECOS✔ Accepts Medicare9.6 mi
Housam Moursi, DO
Emergency Medicine
NPI 1255308599
200 AVENUE F NE
Winter Haven, FL 33881
(863) 293-1121
✔ PECOS10 mi
Eric Conklin
Nurse Practitioner
NPI 1710465927
1324 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 687-1100
✔ PECOS12 mi
Marisa Burkey, MD
Emergency Medicine
NPI 1376794081
1600 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 680-7000
✔ PECOS✔ Accepts Medicare12 mi
Aned Orbezo, M.D.
Family Practice
NPI 1841258654
1600 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 680-7172
✔ PECOS✔ Accepts Medicare12 mi
Jeffrey Jokinen, ARNP
Nurse Practitioner
NPI 1093182693
5040 US HIGHWAY 98 N
Lakeland, FL 33809
(863) 859-3511
✔ PECOS✔ Accepts Medicare15 mi
Michael Cunningham
Emergency Medicine
NPI 1063859262
410 S 11TH ST
Lake Wales, FL 33853
(863) 676-1433
✔ PECOS✔ Accepts Medicare17 mi
Rafael Santiago Aponte, MD
Physical Medicine and Rehabilitation
NPI 1932201373
40100 HIGHWAY 27
Davenport, FL 33837
(863) 422-4971
✔ PECOS✔ Accepts Medicare22 mi
Jenafer Garcia, ARNP
Nurse Practitioner
NPI 1558774455
106 PARK PLACE BLVD STE C
Davenport, FL 33837
(863) 588-4775
✔ PECOS✔ Accepts Medicare22 mi
Danielle Conlon, FNP-C
Nurse Practitioner
NPI 1215529672
15460 ROCKRIDGE RD
Polk City, FL 33868
(330) 605-0235
✔ PECOS✔ Accepts Medicare26 mi
See all 51 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polk Emergency Group LLC's NPI number?

The NPI number for Polk Emergency Group LLC is 1558338574. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Polk Emergency Group LLC located?

Polk Emergency Group LLC is located at 2200 Osprey Blvd, Bartow, FL 33830. The listed phone number is (863) 519-1440.

What is Polk Emergency Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Polk Emergency Group LLC enrolled in Medicare?

Yes. Polk Emergency Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polk Emergency Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 5 Medicare specialties reassign their Medicare billing to Polk Emergency Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (19), Emergency Medicine (16) and Family Practice (8). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Polk Emergency Group LLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.